Tag: Clinical-Nursing

Nursing Evidence Based Practice Research Paper

Details:

Throughout this course you will be developing a formal, evidence-based practice proposal.

The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed, but they should be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word count.

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Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills.

This Nursing Evidence Based Practice Research Paper project contains six formal sections:

Section A: Problem Description

Section B: Literature Support

Section C: Solution Description

Section D: Change Model

Section E: Implementation Plan

Section F: Evaluation of Process

Each section (A-F, to be completed in Topics 1-5) will be submitted as separate assignments so your instructor can provide feedback for revision (refer to each Topic for specific assignments).

The final nursing evidence based practice research paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.

Refer to the “EBP Implementation Plan Guide, the “Evidence-Based Practice Project Proposal Format,” and the “Evidence-Based Practice Project Student Example” as tools for developing your proposal.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required for the final paper.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

EBP Implementation Plan Guide

PICOT Question

Topic 1

Preliminary Checkpoint

·            Identify a health care issue you want to see change.

·            Understand the culture of the organization in its readiness for EBP implementation.

·            Develop PICOT question.

·            Build EBP knowledge and skills.

Notes:

Topic 2

Checkpoint 1

·            Define project purpose.

·            Who are the stakeholders for your project?

·            Identify active (on the implementation team) and supportive (not on the team, but essential to success) roles.

·            Identify project team roles and leadership.

·            Begin acquisition of any necessary approvals for project implementation and dissemination (e.g., system leadership, unit leadership, ethics board [IRB]).

·            Feasibility:Briefly integrate the evidence with stakeholder influence to inform evidence-based recommendations.

·            Hone PICOT question.

Notes:

Topic 3

Checkpoint 2

·            Conduct literature search and retain studies that meet criteria for inclusion.

·            Connect with librarian.

·            Critically appraise literature.

·            Summarize evidence with focus on implications for practice.

Notes:

Topic 4

Checkpoint 3

·            Begin formulating a detailed plan for implementation of evidence.

·            Include who must know about the project, when they will know, how they will know.

·            Connect the evidence and the project.

·            Identify and address known barriers and facilitators of project.

·            Define post-project outcome indicators of a successful project.

Notes:

Topic 5

Checkpoint 4

·            Define baseline data collection source(s) (e.g., existing data set, electronic health record), methods, and measures.

·            Identify resources (human, fiscal, and other) necessary to complete project.

·            Gather outcome measures.

·            Write data collection protocol.

·            Write the project protocol (data collection fits in this document).

·            Finalize any necessary approvals for project implementation and dissemination (e.g., system leadership, unit leadership, IRB).

Notes:

Topic 6

Checkpoint 5

·            Finalize protocol for implementation of evidence.

·            Complete final data collection for project evaluation.

·            Include specific plan for how the evaluation will take place: who, what, when, where and how, and communication mechanisms to stakeholders.

Notes:

Topic 7

Checkpoint 6

·            Complete proposal.

·            Develop proposal presentation.

Notes:

Topic 8

Checkpoint 7

·            Present proposal.

·            Review proposals, addressing new questions generated from process of the peer review.

Notes:

 

Nursing Evidence Based Practice Research Paper Proposal Format

Use the following format and headings when constructing your final Nursing Evidence Based Practice Research Paper

Title page

Abstract (Minimum of 350 words)

Contains project title, project director’s name, and affiliation.

Presents a complete concise overview of all phases of the proposed project.

Section A: Problem Description

Section B: Literature Support

Section C: Solution Description

Section D: Change Model

Section E: Implementation Plan

Section F: Evaluation

Appendices

Critical Appraisal Checklists

Evaluation Table

Conceptual Models

Timeline

Resource List

Proposal Instruments

Data Collection Tool

Budget

Optional

Approval Forms

Handouts

Evaluation Tools

Obesity is increasingly becoming a matter of great medical concern in modern health facilities. Tackling obesity should be prioritized in many health care facilities since it’s on the raise as the many researches carried out have shown. The specific impact of obesity is difficult to assess but its effect to general morbidity and premature death are known.

Body mass index (BMI) method is what is used to measure and determine if a person is obese as described by World Health Organization. This formulae is used in both male and female and gives the most vital indicator of overweight (BMI of 25 or above) and obesity. The BMI is only used as a guide as it does not put into account for muscle mass or for fat distribution which differ between individuals. In the United States the Obesity rates continues to rise at epic proportions. In order to tackle the menace, nurses and other medical professional should be in a position to handle and understand obesity.

The nurses need to know all aspects of obesity which include screening, predispositions, pathophysiology and management of the disease in order to help patients. The knowledge the nurses get will be important in lowering the number of cases of obesity in the country and in long run stop this growing epidemic. The number of obesity cases in children is raising rapidly and hence nurses who have knowledge on its management will be in a better position to help. By educating the nurses about obesity, the risk factors and co-morbidities that manifest due to obesity, will be handled in a professional manner and lead the Country to live in healthier ways.

Nurses will be taught on various causes of obesity in children which include lack of doing enough physical activities and prolonged immobility. Other causes factors leading to obesity include overeating in excess and combined with limited physical activities which will be well inculcated in their learning process. The learning about obesity will help nurses understand the pathophysiology of this life style disease, which is simply taking more calories than required.  Nurses will be introduced to the theory about child metabolism and hormone irregularities, which contributes to dysfunction of hormones and energy storage for a long period of time.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Mulherin, K., Miller, Y. D., Barlow, F. K., Diedrichs, P. C., & Thompson, R. (2013). Weight stigma in maternity care: women’s experiences and care providers’ attitudes. 
BMC pregnancy and childbirth
, 
13
(1), 19.

Swift, J. A., Hanlon, S., El‐Redy, L., Puhl, R. M., &Glazebrook, C. (2013). Weight bias among UK trainee dietitians, doctors, nurses and nutritionists. 
Journal of human nutrition and dietetics
, 
26
(4), 395-402.

Post
 a 
description of an adverse event
 in your organization and your analysis of the issue using the Regulatory Decision Pathway. Explain how role conflict or ambiguity might have influenced this situation. Apply the principles of just culture as you explain how you, as the group’s manager, would handle the situation.

The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by the student from their local community.

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000-1,500 words discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

 

1. Perform a heritage assessment on three families. One of these families should be from your own culture.

2. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

What Is The Enrollment Rate Of Medicaid Managed Care Plans In The State Of Virginia?

Conduct some preliminary research on the Medicaid managed care plans in the state of Virginia.

Write a 4- to 5-page paper, 12 Font, double-spaced answering the following questions:

1.Find out the enrollment rate of Medicaid managed care plans in your state and compare it to the national Medicaid managed care penetration rate.

2.What types of Medicaid managed care plans are offered in your state (e.g., MCO, PCCM, or others)? What is the share of enrollees for each of these managed care plans in your state’s overall Medicaid-managed system?

3.What are the payment arrangements for these different types of managed care plans? Explain how providers are reimbursed and whether beneficiaries need to pay cost sharing and at what level.

Please make sure the plagiarism report is less than 7%.

Week One Paper: Write a paper incorporating your thoughts and answers to questions 1-6 below and submit your paper in the drop box. Please consult the rubric.  You must use APA format as well as APA citation for in-text citations and reference list.

 

Week 1 Paper #1 will address the following questions set forth:

 

Compare and contrast the current Scope and Standards (2015) with the 2010 version, in particular the Standards of Practice and the Standards of Performance for the 2015 edition and for the 2010 edition found in the 2015 version in Appendix A  Highlight a few changes and discuss your evaluation of the changes made – do you agree or disagree with them. Which version of the Standards do you prefer?

Comment on the competencies listed under Standard 11 of the 2015 version.   Did you know that participating in a professional organization was included in one of the standards of your profession?  Comment on any of the competencies that you were surprised to find in any of the standards.

Describe the legislative purpose and intent of F.S. 464 (AKA the Nurse Practice Act), F.S. 456, and F.A.C. 64 B9. Identify specific laws and rules related to the practice of nursing and nursing assisting.

Identify and comment on one section of  F.A.C. 64-B9. Discuss how any of the concerns or solutions set forth in the articles impact the nurse’s ability to competently comply with any of the Standards of Practice or Performance.

Are any of these standards/rules/laws in conflict with your own values?  Do you see a potential for conflict?

After reading the malpractice article discuss how this article relates nursing malpractice to the nursing Standards of Practice.

Write a 10- to 15 pages Final Application Respite Services paper (not including title page and reference page) Part I:
What theory and research informed the rationale for the program/service you propose or for the program/service you are enhancing?Who could benefit from this program/service?How would you staff the program/service?What would be the staff qualifications?What pre-service and in-service training would the staff receive?What laws or regulations covers this program/service?What obstacles do you anticipate encountering with the development and implementation of the program/service?How will you determine the effectiveness of the program/service?How will you market the program/service.How would you get clients?How will you meet the needs of diverse constituents served by the program/service?Why is your program/service original? Or why the enhancement you are proposing make the service original?How would you finance the program/service?To what extent will your program/service promote aging in place? This part of the assignment is worth 75 points Faculty comments  Your score 
Part II:Use proper APA formatting and academic writing requirements:
Support your Final Application Respite Services paper with specific references to all resources used in its preparation. Provide a reference list with all resources included in the paper. Paper should be well organized  A title page An introduction that states the purpose of the paper  Sub-headings to define each part of the paper A conclusion to synthesize the entire paper 
Paper has a Bibliography:
 Â APA format for all references and in-text citations.At least 10 recent peer reviewed  reference list at the end of the Respite Services document.Reference list contains information not older than 2006
Length:
 Â 10-15 pages in length, double-spaced,Writing to meet academic expectations

Breast Conditions Case Study

Discussion:

Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:

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Case Study 1:

You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.

Post
 an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder.

1. Please submit a 4- to 5-page paper that lists all types of managed care plans/products offered by an employer and compare the features (e.g., employee cost sharing, premium contribution, covered benefit, freedom of provider choice, and so on) between these offered MCO plans. If the employer also offers a CDHP plan, include it in your discussion.

2. Conduct some preliminary research on the initiatives and formation of one ACO in any state of your choice.

a. How is this ACO organized?

b. How do payers pay this ACO?

c. How are payments distributed among the providers within this ACO?

d. What are the quality measures used to evaluate the performance of this ACO? And what are the rewards and penalties for performance quality

Please make sure Types Of Managed Care Plans/Products paper is double-spaced, 12 Font, Times New Roman with a 7% or less plagiarism report.

Assignment: Practicum – Journal Entry

Reflect on a patient who presented with a breast condition during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain your patient education strategies for patients with or at risk of breast conditions. Include a description of how you might teach patients to perform breast self-examinations. If you did not have an opportunity to evaluate a patient with this background during the last six weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences